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Alaska rates for HCPCS L1300

Other scoliosis procedure, body jacket molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.20 / $2,367.14 / $2,367.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $1,277.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $1,498.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $606.11 / $606.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.95 / $2,625.13 / $4,144.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.11 / $606.11 / $1,277.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,411.47 / $2,230.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.56 / $2,067.87 / $3,446.45